{"procedure":{"code_type":"CPT","code":"46255","lay_name":"Removal of internal and external hemorrhoids, one area","blurb":"Cutting out both inside and outside hemorrhoids in a single column or group of tissue.","slug":"cpt-46255-removal-of-internal-and-external-hemorrhoids-one-area","description":"Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"81","label":"Hemorrhoid procedures","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:13:17.894638Z","n_priced_setters":3956,"n_filed":1298,"n_usable":1189,"n_not_usable":0,"n_labelled":61,"n_no_cash":40,"n_estimated":8,"n_states":50,"cash_p10":640.5,"cash_p20":881.6,"cash_p25":1028.3,"cash_p50":2752.76,"cash_p75":5183.0,"cash_p80":6165.0,"cash_p90":9046.85,"cash_mean_trimmed":2807.9,"gross_p50":3705.0,"cash_to_gross_p50":0.65,"medicare_rate":2835.78,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.9707,"by_state":[{"state":"AK","n":10,"p20":2236.64,"p50":3519.75,"p80":5010.72},{"state":"AL","n":15,"p20":1433.0,"p50":2769.16,"p80":7983.89},{"state":"AR","n":13,"p20":1170.0,"p50":3597.41,"p80":5923.26},{"state":"AZ","n":11,"p20":551.25,"p50":3406.14,"p80":16571.93},{"state":"CA","n":78,"p20":1494.4,"p50":4555.2,"p80":10057.6},{"state":"CO","n":17,"p20":748.0,"p50":1235.05,"p80":2941.5},{"state":"CT","n":5,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":22,"p20":1289.6,"p50":3592.63,"p80":6605.31},{"state":"GA","n":31,"p20":2770.0,"p50":2771.7,"p80":6653.0},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":51,"p20":890.25,"p50":1202.6,"p80":1456.0},{"state":"ID","n":17,"p20":1042.0,"p50":3046.62,"p80":7189.0},{"state":"IL","n":47,"p20":784.32,"p50":1728.75,"p80":4623.54},{"state":"IN","n":28,"p20":613.55,"p50":1576.2,"p80":7904.97},{"state":"KS","n":35,"p20":616.0,"p50":953.7,"p80":2614.0},{"state":"KY","n":16,"p20":562.25,"p50":830.4,"p80":3109.6},{"state":"LA","n":22,"p20":897.12,"p50":2600.64,"p80":3998.0},{"state":"MA","n":20,"p20":2440.76,"p50":4814.25,"p80":8515.0},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":11,"p20":358.71,"p50":753.62,"p80":1443.0},{"state":"MI","n":43,"p20":843.75,"p50":1148.2,"p80":3816.64},{"state":"MN","n":45,"p20":854.75,"p50":2185.92,"p80":3203.56},{"state":"MO","n":33,"p20":725.4,"p50":3285.42,"p80":8800.69},{"state":"MS","n":16,"p20":1085.0,"p50":3949.2,"p80":6844.05},{"state":"MT","n":16,"p20":528.8,"p50":824.78,"p80":1508.6},{"state":"NC","n":14,"p20":1364.0,"p50":3175.8,"p80":8380.0},{"state":"ND","n":4,"p20":null,"p50":null,"p80":null},{"state":"NE","n":24,"p20":801.26,"p50":1234.8,"p80":2518.96},{"state":"NH","n":11,"p20":312.6,"p50":596.84,"p80":2741.78},{"state":"NJ","n":32,"p20":3035.44,"p50":3659.36,"p80":5741.0},{"state":"NM","n":9,"p20":null,"p50":null,"p80":null},{"state":"NV","n":10,"p20":1186.0,"p50":3019.0,"p80":4593.4},{"state":"NY","n":68,"p20":873.58,"p50":3245.23,"p80":4860.0},{"state":"OH","n":39,"p20":709.94,"p50":7172.56,"p80":14130.85},{"state":"OK","n":20,"p20":727.62,"p50":727.62,"p80":7206.78},{"state":"OR","n":33,"p20":952.25,"p50":1466.4,"p80":6829.5},{"state":"PA","n":33,"p20":240.0,"p50":2463.0,"p80":5609.84},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":22,"p20":4934.89,"p50":7449.65,"p80":7449.65},{"state":"SD","n":8,"p20":null,"p50":null,"p80":null},{"state":"TN","n":15,"p20":453.27,"p50":3470.42,"p80":4660.28},{"state":"TX","n":60,"p20":3417.12,"p50":3750.0,"p80":5872.08},{"state":"UT","n":4,"p20":null,"p50":null,"p80":null},{"state":"VA","n":30,"p20":2211.5,"p50":3401.65,"p80":9932.67},{"state":"VT","n":11,"p20":716.45,"p50":938.4,"p80":3043.98},{"state":"WA","n":46,"p20":953.98,"p50":2950.86,"p80":4496.8},{"state":"WI","n":54,"p20":881.6,"p50":2225.6,"p80":3398.64},{"state":"WV","n":23,"p20":393.0,"p50":3583.48,"p80":6365.0},{"state":"WY","n":7,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":804,"p20":1063.58,"p50":3458.4,"p80":7449.65},{"key":"childrens","n":9,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":374,"p20":724.5,"p50":1255.31,"p80":3398.64}],"ownership":[{"key":"for_profit","n":110,"p20":1620.0,"p50":4598.53,"p80":8852.33},{"key":"government","n":247,"p20":852.6,"p50":1595.45,"p80":3900.5},{"key":"nonprofit","n":830,"p20":881.6,"p50":2774.0,"p80":6248.0}],"affiliation":[{"key":"affiliated","n":907,"p20":943.8,"p50":3203.56,"p80":6709.0},{"key":"independent","n":282,"p20":713.75,"p50":1393.2,"p80":4004.33}]},"histogram":[{"lo":476.0,"hi":653.82,"n":69},{"lo":653.82,"hi":898.08,"n":124},{"lo":898.08,"hi":1233.58,"n":115},{"lo":1233.58,"hi":1694.42,"n":101},{"lo":1694.42,"hi":2327.42,"n":90},{"lo":2327.42,"hi":3196.89,"n":98},{"lo":3196.89,"hi":4391.18,"n":159},{"lo":4391.18,"hi":6031.64,"n":132},{"lo":6031.64,"hi":8284.93,"n":105},{"lo":8284.93,"hi":11380.0,"n":78}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:17.894638Z","n_priced_setters":3956,"n_filed":684,"n_usable":619,"n_not_usable":0,"n_labelled":25,"n_no_cash":40,"n_estimated":0,"n_states":48,"cash_p10":581.0,"cash_p20":727.62,"cash_p25":854.1,"cash_p50":2185.92,"cash_p75":4555.2,"cash_p80":5202.0,"cash_p90":7189.0,"cash_mean_trimmed":2246.27,"gross_p50":3035.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":3,"p20":null,"p50":null,"p80":null},{"state":"AL","n":7,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":62,"p20":1872.48,"p50":4555.2,"p80":10057.6},{"state":"CO","n":9,"p20":null,"p50":null,"p80":null},{"state":"CT","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":10,"p20":773.53,"p50":3210.4,"p80":3895.16},{"state":"GA","n":25,"p20":2134.2,"p50":2771.7,"p80":6653.0},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":23,"p20":943.2,"p50":1269.6,"p80":1297.0},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":29,"p20":651.0,"p50":1194.2,"p80":2692.0},{"state":"IN","n":15,"p20":533.7,"p50":652.3,"p80":1576.2},{"state":"KS","n":6,"p20":null,"p50":null,"p80":null},{"state":"KY","n":8,"p20":null,"p50":null,"p80":null},{"state":"LA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MA","n":18,"p20":2808.75,"p50":5439.88,"p80":9283.0},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":9,"p20":null,"p50":null,"p80":null},{"state":"MI","n":21,"p20":687.0,"p50":1540.0,"p80":5958.98},{"state":"MN","n":31,"p20":1074.31,"p50":2185.92,"p80":3203.56},{"state":"MO","n":9,"p20":null,"p50":null,"p80":null},{"state":"MS","n":3,"p20":null,"p50":null,"p80":null},{"state":"MT","n":8,"p20":null,"p50":null,"p80":null},{"state":"NC","n":4,"p20":null,"p50":null,"p80":null},{"state":"ND","n":4,"p20":null,"p50":null,"p80":null},{"state":"NE","n":10,"p20":866.0,"p50":1234.8,"p80":1590.84},{"state":"NH","n":9,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":5,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":31,"p20":579.5,"p50":908.0,"p80":5933.0},{"state":"OH","n":17,"p20":629.25,"p50":805.0,"p80":4152.82},{"state":"OK","n":13,"p20":727.62,"p50":727.62,"p80":727.62},{"state":"OR","n":17,"p20":952.25,"p50":2618.03,"p80":7656.0},{"state":"PA","n":24,"p20":284.7,"p50":750.0,"p80":4412.1},{"state":"SC","n":12,"p20":7449.65,"p50":7449.65,"p80":7449.65},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":44,"p20":3425.94,"p50":3638.59,"p80":5235.05},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":14,"p20":2067.0,"p50":2211.5,"p80":3458.4},{"state":"VT","n":7,"p20":null,"p50":null,"p80":null},{"state":"WA","n":28,"p20":1048.8,"p50":3428.35,"p80":5935.8},{"state":"WI","n":36,"p20":881.6,"p50":2225.6,"p80":2225.6},{"state":"WV","n":6,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":437,"p20":819.9,"p50":2550.6,"p80":5872.08},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":175,"p20":666.4,"p50":1220.85,"p80":3203.56}],"ownership":[{"key":"for_profit","n":47,"p20":652.3,"p50":2225.6,"p80":4004.33},{"key":"government","n":96,"p20":698.25,"p50":1456.0,"p80":3465.8},{"key":"nonprofit","n":474,"p20":750.0,"p50":2211.5,"p80":5235.05}],"affiliation":[{"key":"affiliated","n":490,"p20":807.07,"p50":2225.6,"p80":5235.05},{"key":"independent","n":129,"p20":635.2,"p50":1129.29,"p80":3771.0}]},"histogram":[{"lo":438.03,"hi":589.35,"n":34},{"lo":589.35,"hi":792.94,"n":72},{"lo":792.94,"hi":1066.86,"n":75},{"lo":1066.86,"hi":1435.41,"n":51},{"lo":1435.41,"hi":1931.28,"n":32},{"lo":1931.28,"hi":2598.44,"n":57},{"lo":2598.44,"hi":3496.07,"n":70},{"lo":3496.07,"hi":4703.8,"n":61},{"lo":4703.8,"hi":6328.73,"n":54},{"lo":6328.73,"hi":8515.0,"n":53}],"previous":null}},"related":[{"code_type":"CPT","code":"46083","lay_name":"Lancing a clotted external hemorrhoid","slug":"cpt-46083-lancing-a-clotted-external-hemorrhoid"},{"code_type":"CPT","code":"46320","lay_name":"Removal of a clotted external hemorrhoid","slug":"cpt-46320-removal-of-a-clotted-external-hemorrhoid"},{"code_type":"CPT","code":"46221","lay_name":"Rubber band treatment of internal hemorrhoids","slug":"cpt-46221-rubber-band-treatment-of-internal-hemorrhoids"},{"code_type":"CPT","code":"46260","lay_name":"Surgical removal of internal and external hemorrhoids","slug":"cpt-46260-surgical-removal-of-internal-and-external-hemorrhoids"},{"code_type":"CPT","code":"46230","lay_name":"Removal of multiple anal skin tags","slug":"cpt-46230-removal-of-multiple-anal-skin-tags"},{"code_type":"CPT","code":"46250","lay_name":"Surgical removal of external hemorrhoids, two or more areas","slug":"cpt-46250-surgical-removal-of-external-hemorrhoids-two-or-more-areas"},{"code_type":"CPT","code":"46945","lay_name":"Tying off internal hemorrhoids, one group, no rubber band","slug":"cpt-46945-tying-off-internal-hemorrhoids-one-group-no-rubber-band"},{"code_type":"CPT","code":"46946","lay_name":"Tying off internal hemorrhoids, two or more groups, no band","slug":"cpt-46946-tying-off-internal-hemorrhoids-two-or-more-groups-no-band"},{"code_type":"CPT","code":"46930","lay_name":"Heat treatment of internal hemorrhoids","slug":"cpt-46930-heat-treatment-of-internal-hemorrhoids"},{"code_type":"CPT","code":"46500","lay_name":"Hemorrhoid treatment by injection","slug":"cpt-46500-hemorrhoid-treatment-by-injection"},{"code_type":"CPT","code":"46947","lay_name":"Stapled hemorrhoid repair","slug":"cpt-46947-stapled-hemorrhoid-repair"},{"code_type":"CPT","code":"46261","lay_name":"Hemorrhoid removal with removal of an anal fissure","slug":"cpt-46261-hemorrhoid-removal-with-removal-of-an-anal-fissure"}]}